Immediately contact the ENT registrar to arrange an urgent ENT assessment for:

  • Rapid progression of obstructive sleep apnoea.

Criteria for referral to public hospital specialist clinic services

  • Obstructive sleep apnoea with:
    • Nasal obstruction
    • Macroglossia.

Information to be included in the referral

Information that must be provided:

  • History of symptoms over time and burden of symptoms, sleep quality (especially the story from partner), waking during the night and level of tiredness (including Epworth Sleepiness Scale)
  • Patient's weight
  • If the patient is taking an antidepressant medicine.

Provide if available:

  • Recent polysomnography results.

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

Referrals for other forms of obstructive sleep apnoea should be directed to a multidisciplinary sleep clinic or respiratory service.

Where appropriate and available the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

Not applicable.